What to do if a child has high intraocular pressure
In recent years, children's eye health issues have gradually attracted parents' attention, among which "high intraocular pressure in children" has become one of the hot topics. Excessive intraocular pressure may cause serious eye diseases such as glaucoma, and even cause permanent damage to vision if not intervened in time. The following is a detailed analysis of the causes, symptoms and countermeasures of high intraocular pressure in children.
1. Common causes of high intraocular pressure in children

According to recent medical research and clinical data, elevated intraocular pressure in children is mainly related to the following factors:
| Reason type | Specific performance | Proportion (child cases) |
|---|---|---|
| congenital factors | Angular dysplasia, hereditary glaucoma | 35%-40% |
| secondary factors | Eye trauma, uveitis, hormone drug use | 25%-30% |
| living habits | Long-term use of eyes at close range and excessive use of electronic screens | 20%-25% |
2. Identification of typical symptoms
Parents need to be alert to the following abnormal symptoms and are advised to seek medical examination in time:
| Symptom classification | Specific performance | Hazard level |
|---|---|---|
| visual abnormalities | Frequent squinting, photophobia, and blurred vision | ★★★ |
| Eye discomfort | Redness, swelling, pain, and increased tearing of the eyes | ★★★ |
| systemic symptoms | Headache and nausea (infants and young children cry and refuse to eat) | ★★★★ |
3. Diagnosis and treatment measures
Commonly used clinical examinations and corresponding treatment plans are as follows:
| Check items | normal value range | Interventions |
|---|---|---|
| non-contact tonometer | 10-21mmHg | >25mmHg requires drug control |
| Corneal thickness measurement | 520-550μm | Affects the accuracy of intraocular pressure readings |
| Gonioscopy | open corner | Closure requires surgical intervention |
4. Key points of home care
1.Management with eyes:Limit screen time to no more than 1 hour a day and follow the 20-20-20 rule (look 20 feet away for 20 seconds every 20 minutes)
2.Diet modification:Increase foods rich in vitamin A (carrots, spinach) and Omega-3 (deep-sea fish)
3.Exercise suggestions:Ensure 1 hour of outdoor activity every day. Sunlight stimulation can promote dopamine secretion and help regulate intraocular pressure.
4.Monitoring records:Establish a symptom diary to record the frequency of abnormal behaviors such as eye redness and eye rubbing
5. Latest Treatment Progress
New treatments announced at the 2023 International Ophthalmology Conference:
| Treatment | Applicable age | efficient |
|---|---|---|
| minimally invasive trabeculectomy | 3 years and above | 89.7% |
| selective laser trabeculoplasty | 6 years and above | 76.3% |
| New antihypertensive eye drops (containing Rho kinase inhibitor) | 2 years old and above | 82.4% |
Special reminder:Intraocular pressure testing of infants and young children needs to be performed under general anesthesia, and parents should choose a hospital with pediatric ophthalmology qualifications. Recommendations for regular eye health examinations: at least 2 professional examinations before the age of 3, and a comprehensive examination every year during school age.
Through early detection and scientific intervention, most children's intraocular pressure problems can be effectively controlled. Parents should avoid blindly using folk remedies, such as herbal eye smoke, which may aggravate the condition.
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